Provider Demographics
NPI:1902593890
Name:HEDGEHOG HOMECARE
Entity Type:Organization
Organization Name:HEDGEHOG HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOBIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-399-0326
Mailing Address - Street 1:13859 GIBRALTAR LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2446
Mailing Address - Country:US
Mailing Address - Phone:302-399-0326
Mailing Address - Fax:
Practice Address - Street 1:206 CASTELLO AVE
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-4307
Practice Address - Country:US
Practice Address - Phone:302-399-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care